A nurse is assisting with the care of a client 2 hr postoperative following a cardiac catheterization. Which of the following actions should the nurse take?
Check the client's distal pulses in both legs.
Keep the client overnight.
Keep the client on bed rest for 12 hr.
Restrict the client's oral fluids.
The Correct Answer is A
A. Check the client's distal pulses in both legs:
Checking the client's distal pulses in both legs is crucial to ensure that there is adequate blood flow and no signs of arterial occlusion or complications from the catheterization. This is an important assessment to detect potential vascular complications, such as a hematoma or an arterial blockage.
B. Keep the client overnight:
Keeping the client overnight is not typically required for all cardiac catheterization procedures. The need for an overnight stay depends on the individual case and any complications or comorbidities. Routine catheterizations often allow for discharge on the same day with appropriate monitoring.
C. Keep the client on bed rest for 12 hr:
Keeping the client on bed rest for 12 hours is excessive. Typically, bed rest is required for 2 to 6 hours following the procedure to allow the puncture site to stabilize and reduce the risk of bleeding. The exact duration of bed rest depends on the approach used and the patient's condition.
D. Restrict the client's oral fluids:
Restricting the client's oral fluids is generally not appropriate. In fact, increasing fluid intake is often encouraged to help flush out the contrast dye used during the procedure and to prevent renal complications. Monitoring for fluid balance is important, but outright restriction is not typically indicated unless there is a specific medical reason.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Expert opinions: While expert opinions can provide valuable insights, they are considered lower in the hierarchy of evidence. They do not undergo the rigorous testing and peer review that higher levels of evidence, such as systematic reviews and randomized controlled trials, do.
B. Credible websites: Credible websites can be a good source of information, but they are not considered the highest level of evidence. The information on websites can vary greatly in quality and may not be peer-reviewed.
C. Qualitative studies: Qualitative studies can provide in-depth information about specific topics, but they are not considered the highest level of evidence. They often involve smaller sample sizes and do not provide the same level of quantitative data as systematic reviews or randomized controlled trials.
D. Systematic review: This is correct. Systematic reviews are considered the highest level of evidence in the hierarchy. They involve a comprehensive search of multiple databases to identify all relevant studies on a particular topic, followed by a rigorous assessment of the quality of each study. The results are then synthesized to provide a comprehensive overview of the current evidence.
Correct Answer is B
Explanation
(A) Re-collection of data: Re-collection of data is not the next step after planning. It might be done as part of the evaluation step or if there are significant changes in the client’s condition.
(B) Implementation: This is the most appropriate answer. After the planning step of the nursing process, the nurse moves on to the implementation step. This is where the nurse executes the interventions that were identified during the planning step.
(C) Data Collection: Data collection is typically the first step in the nursing process, where the nurse gathers information about the client’s health status. It is not the next step after planning.
(D) Evaluation: Evaluation is the final step of the nursing process. It involves assessing the client’s response to the nursing interventions and determining whether the client’s goals have been met. It is not the next step after planning.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.